Individual
KELSEY STILLMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
22501 CHASE APT 5217, ALISO VIEJO, CA 92656-7005
(949) 842-1753
Mailing address
22501 CHASE APT 5217, ALISO VIEJO, CA 92656-7005
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SPA2620
CA
Other
Enumeration date
04/09/2014
Last updated
04/09/2014
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